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Background  Parental concerns about their children’s development can be used as an indicator of developmental risk. We undertook a systematic review of the prevalence of parents’ concerns as an indicator of developmental risk, measured by the  Parents’ Evaluation of Developmental Status (PEDS)  and associated risk factors.    Methods  Electronic databases, bibliographies and websites were searched and experts contacted. Studies were screened for eligibility and study characteristics were extracted independently by two authors. A summary estimate for prevalence was derived. Meta-regression examined the impact of study characteristics and quality. Meta-analysis was used to derive pooled estimates of the impact of biological and psychosocial risk factors on the odds of parental concerns indicating high developmental risk.    Results  Thirty seven studies were identified with a total of 210,242 subjects. Overall 13.8% (95% CI 10.9 -16.8%) of parents had concerns indicating their child was at high developmental risk and 19.8% (95% CI 16.7-22.9%) had concerns indicating their child was at moderate developmental risk. Male gender, low birth weight, poor/fair child health rating, poor maternal mental health, lower socioeconomic status (SES), minority ethnicity, not being read to, a lack of access to health care and not having health insurance were significantly associated with parental concerns indicating a high developmental risk.    Conclusions  The prevalence of parental concerns measured with the  PEDS  indicating developmental risk is substantial. There is increased prevalence associated with biological and psychosocial adversity.    Trial registration  PROSPERO Registration:  CRD42012003215 .    Electronic supplementary material  The online version of this article (doi:10.1186/1471-2431-14-231) contains supplementary material, which is available to authorized users.

bmc pediatrics

A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS)indicating developmental risk